Core items selection and psychometric properties of the adult attention-deficit hyperactivity disorder self-report scale-chinese short version (ASRS-CSV)

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry Pub Date : 2024-06-27 DOI:10.1016/j.ajp.2024.104136

Huajia Tang , Zheng Zhang , Honghui Chen , Hui Chen , Xianliang Chen , Sihong Li , Yanyue Ye , Jiansong Zhou

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Abstract

Objective

This study aimed to develop and validate the Chinese Short Version of the Adult ADHD Self-Report Scale (ASRS-CSV), addressing the need for culturally appropriate diagnostic tools for Attention-Deficit Hyperactivity Disorder (ADHD) in the Chinese adult population.

Methods

Utilizing a combination of intergroup difference analysis, factor analysis, and network analysis, we identified core ADHD symptoms pertinent to the Chinese cultural context. The study involved two samples: a vocational and technical school sample (N=1144) and an internet sample (N=1654), comprising adults aged 16–25 years. Reliability, validity, and diagnostic efficacy of the ASRS-CSV were assessed through psychometric testing.

Results

The ASRS-CSV demonstrated high internal consistency (Cronbach’s alpha > 0.9) and robust convergent validity (AVE > 0.7). The scale's diagnostic cutoff points were optimized, revealing high sensitivity and specificity for ADHD screening. Cross-cultural analysis highlighted differences in core ADHD symptoms between Chinese and Western populations, underscoring the scale's cultural sensitivity.

Conclusion

The ASRS-CSV is a reliable, valid, and efficient tool for screening ADHD in Chinese adults, reflecting the socio-cultural nuances of ADHD symptomatology. Its development marks a significant advancement in the field of psychiatry, offering a tailored approach for ADHD assessment in China and contributing to the global discourse on cross-cultural psychiatric diagnosis.

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成人注意缺陷多动障碍自我报告量表--中文简版（ASRS-CSV）的核心项目选择和心理测量学特性。

研究目的本研究旨在开发并验证中文简版成人注意力缺陷多动障碍自评量表（ASRS-CSV），以满足中国成人群体对适合其文化背景的注意力缺陷多动障碍（ADHD）诊断工具的需求：我们综合运用了群体间差异分析、因子分析和网络分析等方法，确定了与中国文化背景相关的注意力缺陷多动障碍核心症状。研究涉及两个样本：职业技术学校样本（1144 人）和互联网样本（1654 人），均为 16-25 岁的成年人。通过心理测试评估了 ASRS-CSV 的信度、效度和诊断效力：ASRS-CSV显示出较高的内部一致性（Cronbach's alpha > 0.9）和较强的收敛效度（AVE > 0.7）。量表的诊断临界点经过优化，显示出对多动症筛查具有较高的灵敏度和特异性。跨文化分析凸显了中西方人群在核心ADHD症状方面的差异，强调了量表的文化敏感性：ASRS-CSV是筛查中国成年人多动症的可靠、有效和高效的工具，反映了多动症症状的社会文化差异。ASRS-CSV的开发标志着精神病学领域的重大进步，为中国的ADHD评估提供了一种量身定制的方法，并为全球跨文化精神病学诊断的讨论做出了贡献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian journal of psychiatry Medicine-Psychiatry and Mental Health

CiteScore

12.70

自引率

5.30%

发文量

297

审稿时长

35 days

期刊介绍： The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.

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